Information Form - Summer 2019
Welcome to Mudrats Water Polo (MWP):

Please complete the following Information Form so that we can keep you apprised of upcoming Events and Practice schedules. To complete your registration, athletes must register for practices at www.napervilleparks.org..Additional Competition Events and/or Practice locations may be announced as Athlete interests grows.

Email address *
Athlete First Name *
Your answer
Last Name *
Your answer
Address, City, Zip
Your answer
Parents contact phone *
Your answer
Athletes phone
Your answer
Athletes Birthdate *
Your answer
Athlete Email
Your answer
Gender *
T-Shirt Size *
Current Grade School & School District
Your answer
Future High School
Athletes Grade this Fall *
Emergency Contacts (Name & Phone)
Your answer
Athlete Medical Issues
Your answer
Parent Volunteer?
Submit Other Parent/Athlete Program Questions?
Your answer
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